National Provider Identifier
Roberta Ann Grant, FNP C
Roberta Ann Grant, FNP C is listed in the NPPES registry with a primary specialty of Nurse Practitioner in Horseheads, NY and a listed phone number of (607) 795-2828.
Profile Overview
- NPI
- 1548358203
- Provider Type
- Individual
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- October 10, 2006
- Last Updated
- November 24, 2020
Practice Location
- 100 John Roemmelt Dr Ste 204
- Horseheads, NY 14845-8304
Phone: (607) 795-2828
Mailing Address
- 571 Saint Josephs Blvd Fl 2
- Elmira, NY 14901-3230
Specialties
- Nurse Practitioner (363L00000X)
Full Record
- NPI
- 1548358203
- Entity Type
- Individual
- Last Name
- Grant
- First Name
- Roberta
- Middle Name
- Ann
- Name Prefix
- Mrs.
- Credential
- FNP C
- Provider Other Last Name
- Donald
- Provider Other First Name
- Roberta
- Provider Other Middle Name
- Ann
- Provider Other Name Prefix Text
- Miss
- Provider Other Credential Text
- RN
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 571 Saint Josephs Blvd Fl 2
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14901-3230
- Mailing Country
- US
- Mailing Phone
- (607) 271-2050
- Practice Street Address
- 100 John Roemmelt Dr Ste 204
- Practice City
- Horseheads
- Practice State
- NY
- Practice ZIP Code
- 14845-8304
- Practice Country
- US
- Practice Phone
- (607) 795-2828
- Practice Fax
- (607) 795-2829
- Enumeration Date
- October 10, 2006
- Last Updated
- November 24, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- November 24, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Nurse Practitioner (363L00000X)
- Other Identifiers
- 02850613 (NY)